HomeMy WebLinkAbout1624 W 7th St - Building
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
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PERMIT NUMBER
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TOTAL FEE
30~D
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CONT. Lie. NO.
TIMETOCOMPLETE
NO. STQRI ES
LEGAL OCCUPANCY
Site Address
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Owner
Owner's Address
PERMITS WITH WRONG ~RESSES ARE CANC~ {
InstallalionBy ~ IJ&e..CJ1f[, f f CTXIL
Installers Address
Day Phone (nstallers Phone
Application is ereby made for Permit to install Electrical Equipment as follows: ~
Wiring Met~od
."
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PEA 100R FEE USE OF CIRCUIT PEA 100R FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
LIGHT SIGN
LIGHT ./ -" 50 VOLTS
OR LESS
CONVENIENCE /I I.I( t , MOTOR
CONVENIENCE IlAJ1A'lf I'. --- V MOTOR
APPLIANCE ,.., . /k;.V ~ V MOTOR
DISHWASHER //7' If ./' /' V FIRE ALARMS
DISPOSAL f ./ V ./ r:.------ BUAGLAA ALAAM
RANGE ~ / I~ MISC.
OVEN
WATER HEATER ,
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVIC~ AW.G.
th~e work 10 be I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certif erformed under this ermit will be done b the installer and in conformance with the N.E.C. Electrical Code.
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Date Application made
,19
By
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permi~sion is hereby given to do the above described work, acco'rding to the conditidns hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances t e City of Port Angeles, ,
RE R 'TV ~IGHT
/O;8/tf
By
PLA,N
Notify Department of City Light by Street Address and Permit Number when rea for inspection, Work must not
be covered or current turned on before inspection and O.~. for coverIng or service has been given by Inspector in,
Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158.
.
Date Permit Issued
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER-
WHITE. Original CANARY - Duplicate
PINK. TriPI~tTE CARD 'InSP~cIOr'S Report
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OLYMPIC PRINTERS, INC.
_ V' T~_ """,'" _ ~
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REPORT OF INSPECTOR
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OA TE OF VISIT MADE BY REMARKS
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O.K. FOR COVERING
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FEE RECEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
1 ~T NUMBER
..
TOTAL FEE Ib tJO ,(U
-
CONT. Lie. NO. TIMETO COMPLETE NO. STORIES LEGAL OCCUPANCY
Site Address
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
LIlY OF APPLICANT
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Installation By ;7. {/z.e t Dr d U f (. 7rU L
Installers Address
Owner
Owner's Address
Day Phone ~ - /1 .3 5 Installers Phone
Application is hereby made for Permit to install Electrical Equipment as follows:
1fMJ1.
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JRLi J{; ~ .
0.1{,
Wiring Method
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER '~~ FEE USE OF CIRCUIT PER 100R FEE
CIRCUITS CIR 10 CIRCUITS CIR 10 30
LIGHT \ SIGN
LIGHT 50 VOLTS
r .\ OR LESS
CONVENIENCE U U U MOTOR
CONVENIENCE C :;::::-;:::J MOTOR
APPLIANCE ~ ~ MOTOR
DISHWASHER r ----, FIRE ALARMS
DISPOSAL \~ !) BURGLAR ALARM
RANGE i------.., MISC.
:,.---<
OVEN ~-'
WATER HEATER ---. .-,
LAUNDRY ~
DRYER h";- - REINSTALLATION LIGHT FIXTURE #
1 -.
FURNACE V- SUB TOTAL FEE
GAS - Oil
FURNACE C-il- I ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT r:- - ~
TOTAL FEE
ELECTRIC HEAT / '
C:_'<_ SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT -'.1
AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE AW.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
1 certify that the work to be performed
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,19
his permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
By )d;.fr fL-
~ CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of e City of Port Ange es.
DIR TO Fe
Date Application made
~/~/r'
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158.
.
Date Permit Issued
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
"I VUOIf""OE::lIP\JTI=I'l<:' 1t.Jr"
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
,
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FINAL O.K.
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